| NPI | 1447404496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NY 335606) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335606) |
| 363L00000X Nurse Practitioner (Licence: NY 335606) | |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2024-02-20 |